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What Does My Lab Test Report Indicate?
Question: My brother has the following symptoms:
1. change in stool that are dark and oily
2. new onset diabetes with fsbs 3-400
3. 40lb unintentional wt. loss
4. severe deblititating pain RUQ radiating to back after he eats of drinks
5. he had US showing pancreatitis and a lesion on liver
6. CT scan showed multiple lesions on liver, greatest size 1cm
Md referred him to gastroenterologist, but soonest available appt. is 4 weeks from now. So my question is with the time till we see gastroenterologist, what tests can we do so we will already have results when we see him?
AFP
MRI?
PET?
tumor markers?
1. change in stool that are dark and oily
2. new onset diabetes with fsbs 3-400
3. 40lb unintentional wt. loss
4. severe deblititating pain RUQ radiating to back after he eats of drinks
5. he had US showing pancreatitis and a lesion on liver
6. CT scan showed multiple lesions on liver, greatest size 1cm
Md referred him to gastroenterologist, but soonest available appt. is 4 weeks from now. So my question is with the time till we see gastroenterologist, what tests can we do so we will already have results when we see him?
AFP
MRI?
PET?
tumor markers?
Brief Answer:
Name and relevance of tests are mentioned.
Detailed Answer:
Hi,
Thanks for choosing HCM for your query!
Have noted all your details
As per your question the tests which should be done before meeting a gastroenterologist are-
HbA1c
Fasting blood sugar
Post prandial blood sugar
Serum amylase levels
serum lipase levels
MRI abdomen with gadolinium contrast to fiind out if multiple lesions are solid(hemangiomas,or cirrhotic liver nodules).Likely diagnoses include hepatocellular carcinoma (the most likely; a solid liver lesion in a cirrhotic liver) and hemangioma (generally presenting as a mass in a non-cirrhotic liver) or Focal nodular hyperplasia. In 70% of cases, MRI with gadolinium contrast differentiates between these lesions.Kesion less then 1cm are usually benign.However as in your case it is about 1cm,You should be ready with full work up to rule out hepatocellular carcinoma.
serum Alfha feto protein
Serum alkaline phosphatase
serum lactate dehydrogenase
serum albumin
prothrobin time
Iron profile.
High alkaline phosphatase, high lactate dehydrogenase (LDH), low albumin, high prothrombin time, and iron overload are non-specific but might suggest an underlying chronic hepatitis, cirrhosis or an infiltrative process(carcinoma).
Blood serology
HbsAg
HCV
A history of hepatitis B, C or liver cirrhosis might point to hepatocellular carcinoma.
Atleast these are the badic test results which you should have with you before presenting to gastroenterologist.
Thanks!
Name and relevance of tests are mentioned.
Detailed Answer:
Hi,
Thanks for choosing HCM for your query!
Have noted all your details
As per your question the tests which should be done before meeting a gastroenterologist are-
HbA1c
Fasting blood sugar
Post prandial blood sugar
Serum amylase levels
serum lipase levels
MRI abdomen with gadolinium contrast to fiind out if multiple lesions are solid(hemangiomas,or cirrhotic liver nodules).Likely diagnoses include hepatocellular carcinoma (the most likely; a solid liver lesion in a cirrhotic liver) and hemangioma (generally presenting as a mass in a non-cirrhotic liver) or Focal nodular hyperplasia. In 70% of cases, MRI with gadolinium contrast differentiates between these lesions.Kesion less then 1cm are usually benign.However as in your case it is about 1cm,You should be ready with full work up to rule out hepatocellular carcinoma.
serum Alfha feto protein
Serum alkaline phosphatase
serum lactate dehydrogenase
serum albumin
prothrobin time
Iron profile.
High alkaline phosphatase, high lactate dehydrogenase (LDH), low albumin, high prothrombin time, and iron overload are non-specific but might suggest an underlying chronic hepatitis, cirrhosis or an infiltrative process(carcinoma).
Blood serology
HbsAg
HCV
A history of hepatitis B, C or liver cirrhosis might point to hepatocellular carcinoma.
Atleast these are the badic test results which you should have with you before presenting to gastroenterologist.
Thanks!
Above answer was peer-reviewed by :
Dr. Yogesh D
thank you!
Brief Answer:
.
Detailed Answer:
Your welcome!
Get well soon.
.
Detailed Answer:
Your welcome!
Get well soon.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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